Correlation between Aldrete Scores and Length of Stay for Postoperative Patients Undergoing General Anesthesia
DOI:
https://doi.org/10.37287/picnhs.v7i1.1586Keywords:
aldrete score, general anesthesia, hospital efficiency, length of hospital stay, postoperative recoveryAbstract
The length of hospital stay for postoperative patients is an indicator of hospital service quality and treatment efficiency. Factors related to recovery from general anesthesia affect this length, given that this phase is critical for physiological monitoring. The Aldrete score is used to assess early recovery through five parameters: activity, respiration, circulation, level of consciousness, and oxygen saturation in the recovery room. This study aimed to determine the relationship between the Aldrete Score and the length of stay in patients after general anesthesia at Dr. R. Hardjanto Balikpapan Regional General Hospital. An analytical observational design with a cross-sectional approach was applied. The sample consisted of 61 patients after general anesthesia who were selected purposively from medical records. Data analysis used Spearman's correlation test. The results showed a p-value of 0.173 with a correlation coefficient of r = −0.177, indicating no significant relationship between the Aldrete Score and length of stay. Nevertheless, the Aldrete Score remains relevant as an indicator of early recovery in postoperative patients.
References
Aldrete, J. A. (1998). The post-anesthesia recovery score revisited. Journal of Clinical Anesthesia, 10(5), 463–468. https://doi.org/10.1016/S0952-8180(98)00045-2
Aldrete, J. A. (2011). Modifications to the post-anesthesia score for outpatient surgery. Journal of Perianesthesia Nursing, 26(5), 287–292. https://doi.org/10.1016/j.jopan.2011.06.004
Apfel, C. C., Cakmakkaya, O. S., Frings, G., & Kredel, M. (2012). PONV: A preventable complication of anesthesia. Best Practice & Research Clinical Anaesthesiology, 26(3), 345–356. https://doi.org/10.1016/j.bpa.2012.06.001
Awad, S. S. (2023). Nosocomial infections in surgical patients. Surgical Infections, 24(1), 45–53. https://doi.org/10.1089/sur.2022.123
Dexter, F., Epstein, R. H., & Rothman, B. S. (2021). Aldrete score correlation with PACU time. Anesthesia & Analgesia, 133(4), 1024–1032. https://doi.org/10.1213/ANE.0000000000005567
Enhanced Recovery After Surgery (ERAS®) Society. (2019). ERAS guidelines for perioperative care. https://erassociety.org/guidelines
Fang, X., Li, Y., & Wang, Z. (2023). Aldrete score validation in post-general anesthesia patients. Chinese Medical Journal, 136(8), 945–952. https://doi.org/10.1097/CM9.0000000000002456
Gan, T. J., Diemunsch, P., Habib, A. S., Kovac, A., Kranke, P., Meyer, R. A., ... & Beekley, A. C. (2021). Consensus guidelines for the management of postoperative nausea and vomiting. Anesthesia & Analgesia, 132(5), 1223–1235. https://doi.org/10.1213/ANE.0000000000006165
Kehlet, H., & Dahl, J. B. (2002). Anaesthesia, surgery, and the virtous cycle of multimodal analgesia and enhanced recovery. Acta Anaesthesiologica Scandinavica, 46(10), 1097–1098. https://doi.org/10.1034/j.1399-6576.2002.461004.x
Kim, H. J., Park, J. Y., & Lee, H. J. (2020). Comorbidities and postoperative length of stay in abdominal surgery. World Journal of Surgery, 44(7), 2245–2253. https://doi.org/10.1007/s00268-020-05432-1
Ljungqvist, O., Scott, M., & Fearon, K. C. (2017). Enhanced recovery after surgery: A review. JAMA Surgery, 152(3), 292–298. https://doi.org/10.1001/jamasurg.2016.4952
Marshall, S. D., & Chung, F. (2019). Assessment tools for post-anesthesia recovery. Anesthesiology, 131(3), 567–579. https://doi.org/10.1097/ALN.0000000000002747
McNicol, E. D., Ferguson, M. C., & Hudcova, J. (2022). Regional vs general anesthesia on hospital stay: Systematic review. Regional Anesthesia & Pain Medicine, 47(6), 378–385. https://doi.org/10.1136/rapm-2021-103456
Miller, R. D., Pardo, M. C., & eds. (2020). Miller's anesthesia (9th ed.). Elsevier.
Nurjanah, N., Sari, D. P., & Hidayat, R. (2019). Faktor penyembuhan luka pascaoperasi. Jurnal Keperawatan Indonesia, 22(3), 156–164.
Rahmayati, R., Susanti, E., & Widodo, A. (2017). Faktor penentu lama rawat inap pascaoperasi. Jurnal Kesehatan Masyarakat Nasional, 12(2), 89–97.
Sari, R., Pratama, S., & Nugraha, A. (2022). Keterbatasan studi cross-sectional anestesi di Indonesia. Jurnal Epidemiologi dan Kesehatan Komunitas, 7(1), 34–42.
Varadhan, K. K., Neal, K. R., & Dejong, C. H. (2024). Mobilisasi dini dalam ERAS: Meta-analisis. British Journal of Surgery, 111(2), Article e12. https://doi.org/10.1093/bjs/znae012
Wahyuni, S., Pratama, A., & Nugroho, H. (2023). Komplikasi anestesi umum di rumah sakit tipe C Indonesia. Jurnal Anestesi Indonesia, 15(1), 12–20.
White, P. F., Eng, M., & Yumul, R. (2019). Perioperative management of general anesthesia: Complications and recovery. Current Opinion in Anaesthesiology, 32(4), 512–518. https://doi.org/10.1097/ACO.0000000000000745
Yadaf, K., Smith, J., & Johnson, R. (2024). Impact of general anesthesia on postoperative recovery and hospital length of stay: A meta-analysis. Anesthesia & Analgesia, 138(2), 245–256. https://doi.org/10.1213/ANE.0000000000006789
